| Larissa Davids, D.d.s.,p.c. | |
|
98-41 Queens Boulvard Apt # 1a Rego Park NY 11374 | |
| (718) 275-2006 | |
| Not Available |
| Full Name | Larissa Davids, D.d.s.,p.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 98-41 Queens Boulvard, Rego Park, New York |
| Authorized Official Name and Position | Larissa Davids (PRESIDENT/ORTHODONTIST) |
| Authorized Official Contact | 7182752006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larissa Davids, D.d.s.,p.c. 98-41 Queens Boulvard Apt # 1a Rego Park NY 11374 Ph: (718) 275-2006 | Larissa Davids, D.d.s.,p.c. 98-41 Queens Boulvard Apt # 1a Rego Park NY 11374 Ph: (718) 275-2006 |
| NPI Number | 1689838906 |
|---|---|
| Provider Enumeration Date | 07/16/2008 |
| Last Update Date | 07/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689838906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 048329 (New York) | Primary |
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